Ironworkers 568 - Employment Application

References

Please list three professional references.
Reference 1
Name*

First NameLast Name
Company*
Relationship:*
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference 2
Name

First NameLast Name
Relationship:
Company:
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference 3
Name

First NameLast Name
Relationship:
Company:
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Employment
Company (#1):*
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor:*
Job Title:*
Starting Salary:*
Ending Salary:*
Responsibilities:
From: Date To: Date
Reason for leaving:
May we contact your previous supervisor for a reference:

Type option 1Type option 2
Company (#2): *
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor:
Job Title:
Starting Salary:
Ending Salary
Responsibilities:
From: Date To: Date
Reason for Leaving:
May we contact your previous supervisor for a reference:

YesNo

Company (#3):
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor:
Job title:
Starting Salary:
Ending Salary:
Responsibilities:
From: Date To: Date
Reason for Leaving:
May we contact your previous supervisor for a reference?

YesNo
Military Service
Branch:
From: Date To: Date
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Disclaimer & Signature
I HEREBY CERTIFY THAT ALL ENTRIES ARE TRUE AND COMPLETE, AND I AGREE AND UNDERSTAND THAT ANY FALSIFICATION OF INFORMATION HEREIN, REGARDLESS OF TIME OF DISCOVERY, MAY CAUSE FORFEITURE ON MY PART TO ANY EMPLOYMENT.

I UNDERSTAND THAT ALL INFORMATION ON THIS APPLICATION IS SUBJECT TO VERIFICATION AND I CONSENT TO REFERENCES, FORMER EMPLOYERS AND ANY INSTITUTIONS OR AGENCIES BEING CONTACTED REGARDING THIS APPLICATION. I FURTHER AUTHORIZE THE COMMITTEE TO RELY UPON AND USE, AS IT SEES FIT, ANY INFORMATION CONTAINED IN THIS APPLICATION AND MAY BE DISSEMINATED TO OTHER AGENCIES OR SYSTEMS ON A NEED-TO-KNOW BASIS FOR GOOD CAUSE AS DETERMINED BY THE AGENCY HEAD OR DESIGNEE
Signature*

Clear
Date*

MonthDayYear
Date

Qualifications for Apprenticeship
A. Applicants for apprenticeship shall not be a member of any organization advocating the overthrow or destruction by any means of the Government of the United States of America.

B.by September 1 of the year in which they apply. They must have a pronounced aptitude and interest in the craft. Applicants will be required to provide the JATC with proof of age.

C. Applicants for apprenticeship must be physically able to perform the required work.

D. The JATC shall have the right to require an applicant for apprenticeship to undergo a drug screening test at a facility chosen by the JATC at the applicant's expense. Applicants may be required to pass a physical examination at the expense of the applicant as a final condition for admission to the program.

E. All applicants for apprenticeship must be able to prove that they are legally entitled to be employed in the United States of America.

F. All applicants for apprenticeship must be high school graduates and present a bona fide copy of their high school transcript, or G.E.D.

G. Qualities such as interest, character, cooperativeness, judgment and similar factors which promise successful completion of the individual's apprenticeship and performance as a journey person will be determined by giving a fair and impartial interview.
I have furnished a copy of my G.E.D. or equivalent, high school transcripts, and a valid ID.*

Click for confirmation
Initial Here: *

Clear
Date*

MonthDayYear
Date
NOTICE

Any applicant with basic requirement deficiencies will not be processed any further. The applicant's folder will be marked "Incomplete Folder" to show that the applicant did not reach the interview process.

Completed applications will remain active for 6 months

EQUAL EMPLOYMENT OPPORTUNITY DISCLOSURE

VOLUNTARY SELF IDENTIFICATION
It is the policy of Iron Workers Local Union No. 568 to provide equal opportunity to all employees and candidates for employment without regard to race, color, religion, sex, national origin, age, handicap, or veteran status or within any other protected group. Various agencies of the United States government require employers to collect information about applicants. Information requested on this form is for compliance with these record keeping requirements and to determine recruitment and employment patterns. Such information will in no way affect the decision regarding your employment opportunities with Iron Workers Local No. 568. This data will be kept confidential. Completion of this form is voluntary and is not a requirement for employment.
Name:

First NameLast Name
Gender:
Race/Ethnicity: the following definitions are taken from the Equal Employment Opportunity Commission (EEOC); please select the one that most closely represents your race/ethnicity:

American Indian or Alaskan Native – a person with origins in any of the original peoples of North America and who maintains cultural identification through tribal affiliations or community recognition.Asian – a person with origins in any of the original peoples of the far east, Southeast Asia, the Indian Subcontinent. Also included are the countries of China, Japan, Korea, the Philippine Islands, and Samoa. The Indian subcontinent includes Bangladesh, Bhutan, India, Nepal, Pakistan, Sikkim, and Sri Lanka.Black or African American – a person with origins in any or the black racial groups of Africa who is not of Hispanic origin.Hispanic or Latino – a person of Mexican, Puerto Rican, Cuban, South American, or other Spanish culture or origin, regardless of race.Native Hawaiian or other Pacific IslanderTwo or more racesWhite/Caucasian – a person with origins in any of the original peoples of Europe, North Africa, or Middle East who is not of Hispanic origin.Choose not to disclose Race/Ethnicity
Should be Empty:

Employment Application

Education

References

Reference 1

Reference 2

Reference 3

Previous Employment

Military Service

Disclaimer & Signature

Qualifications for Apprenticeship

EQUAL EMPLOYMENT OPPORTUNITY DISCLOSURE